Michael Joel Johnson in St Louis Park - Optometrist

Michael Joel Johnson - NPI 1780710459

Michael Joel Johnson is a Optometrist in St Louis Park, Minnesota. Michael Joel Johnson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Michael Joel Johnson is 1780710459. The last update date is 2021-02-04.

Michael Joel Johnson's current location address is 3900 Park Nicollet Blvd, St Louis Park, Minnesota. You can contact this provider via phone number 9529933150. The mailing address for Michael Joel Johnson is 3900 Park Nicollet Blvd, St Louis Park, Minnesota. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Joel Johnson
Address 3900 Park Nicollet Blvd, St Louis Park, Minnesota
Phone Number 9529933150
Fax Number
Sole Proprietor N
Credentials O.D.

NPI Number Detail

NPI Number 1780710459
Provider Enumeration Date 2007-02-26
Last Updated Date 2021-02-04

Provider Mailing Address Detail

Address 3900 Park Nicollet Blvd
City St Louis Park
State Minnesota (MN)
Post Code 554162505
Phone Number 9529933150
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 2818
Definition:
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
531P4JO MN BCBS
OP6854 MN EYEMED
HP64503 MN HEALTH PARTNERS
133059 MN UCARE
22-03338 MN MEDICA
A01991033717 MN PREFERRED ONE

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FAQs about Michael Joel Johnson

What is the unique 10-digit identification code assigned to Michael Joel Johnson by the Centers for Medicare & Medicaid Services?

The Michael Joel Johnson has been issued the NPI (National Provider Identifier) 1780710459, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Michael Joel Johnson's facilities are geographically located?

The facilities of Michael Joel Johnson are physically situated at the following location: 3900 Park Nicollet Blvd, St Louis Park, MN, 554162505.

What is Michael Joel Johnson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Michael Joel Johnson is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did the Michael Joel Johnson receive the assignment of its 1780710459 from the Centers for Medicare & Medicaid Services?

The Michael Joel Johnson was issued its 1780710459 by the Centers for Medicare & Medicaid Services on 2007-02-26.

As of what date were the Michael Joel Johnson's details last updated?

The information pertaining to the Michael Joel Johnson, including its address, specialty, and other details, was most recently updated on 2021-02-04.

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